Annals of medicine and surgery (2012) · 2022
Case report: Severe presentation of a syndromic congenital bilateral upper eyelids eversion.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Sayadi Jihene, Malek Ines, Abid Yosra, Gouider Dhouha, Mekni Manel, Chebbi Amel, Nacef Leila
Аннотация
INTRODUCTION: and importance: Congenital upper eyelid eversion (CUEE) is a rare congenital condition characterized by everted upper eyelids with prominent chemosis. The authors present the first case of concurrent upper eyelids eversion, umbilical hernia, and clubfeet.
CASE PRESENTATION: A four-hour-old newborn male presented with bilateral red upper eyelids swelling. Ophthalmic examination revealed bilateral upper eyelids eversion and severe bilateral chemosis. The further pediatric evaluation showed a painless reducible umbilical hernia and clubfeet. Treatment of the eyelids eversion was conservative, combining topical steroids, antibiotics and lubricants. Chemosis reduced progressively. We obtained a complete resolution on day 21. We referred the neonate to the pediatric surgery, and orthopedic department for umbilical hernia and clubfeet management.
CLINICAL DISCUSSION: Most infants with CUEE may show excellent anatomic and functional results with conservative treatment if managed timely and promptly.
CONCLUSION: The innocuous appearance of CUEE must not prevent clinicians from investigating possible systemic associations and initiating appropriate treatment.
CASE PRESENTATION: A four-hour-old newborn male presented with bilateral red upper eyelids swelling. Ophthalmic examination revealed bilateral upper eyelids eversion and severe bilateral chemosis. The further pediatric evaluation showed a painless reducible umbilical hernia and clubfeet. Treatment of the eyelids eversion was conservative, combining topical steroids, antibiotics and lubricants. Chemosis reduced progressively. We obtained a complete resolution on day 21. We referred the neonate to the pediatric surgery, and orthopedic department for umbilical hernia and clubfeet management.
CLINICAL DISCUSSION: Most infants with CUEE may show excellent anatomic and functional results with conservative treatment if managed timely and promptly.
CONCLUSION: The innocuous appearance of CUEE must not prevent clinicians from investigating possible systemic associations and initiating appropriate treatment.